Bar T5 Trailers – Online Credit Application

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Online Credit Application Form Personal Net Worth Statement Form Download PDF Versions of Forms Download Payment Calculator

Business Information
Full Legal Business Name*
Operating Name*
Year Established*
Type of Business*
Business Address*
Street Address Address Line 2 City Province Postal Code
Mobile Number*
Email Address*
Shareholder Information
Shareholder #1 - First and Last Name*
First Last
Date of Birth*
MM slash DD slash YYYY
SIN
Own/Rent?*
- Own
- Rent
Home Address*
Street Address Address Line 2 City Province Postal Code
Vendor and Equipment Information
Equipment Description*
Vendor*
Approximate Value*
The undersigned agrees that Carbon Capital Corporation may collect, use and disclose certain personal and business information (“Information”) from you and about you. Information may be collected from and disclosed to our agents, affiliates, third party service providers, credit bureaus, credit reporting agencies, other credit grantors, any person you have or propose to have financial relations with as well as third parties who wish to become involved in the syndication of a loan, lease or other investment in which your Information is relevant, or who are involved in risk assessment, risk management, or due diligence in the context of a financial transaction or proposed financial transaction. You also authorize any person whom we contact in this regard to provide such Information to us. We may collect, use and disclose your Social Insurance Number or other personal identifiers to verify and report credit information to credit bureaus or credit reporting agencies as well as to confirm your identity. We may obtain credit reports from Equifax Canada Inc., Box 190 Station Jean Talon, Montreal, Quebec H1S 2Z2, with telephone 1-800-465-7166 and other similar credit reporting agencies. If you would like to review your own personal information, correct or revise information, have questions, concerns or comments regarding its application please fax 1.855.827.5439 or mail to #117, 10555 48th Street SE, Calgary, AB T2C 2B7
*
- I have read and agree to the applicant terms.

Personal Information
First Name, Middle Initial and Last Name*
First Name Middle Initial Last Name
Date of Birth*
MM slash DD slash YYYY
SIN #*
Home Address*
Street Address Address Line 2 City Province Postal Code
Phone Number
Email Address*
Own/Rent/Other*
- Own
- Rent
Mortgage/Rent Month $*
Please enter a number greater than or equal to 0.
Mortgage Amount Owing $*
Estimated Market Value $*
Mortgage Held By*
If Less Than 2 Years at Current Address, Please List Previous Address:
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Marital Status*
Occupation
Business/Self Employment Information
Full Legal Business Name*
Business Operating or Trade Name*
Year Established*
Type of Business*
Annual Revenue $*
Insurance Agent's Name
Insurance Agent's Phone
Insurance Agent's Email
Business Address*
Street Address Address Line 2 City Province Postal Code
Assets
Primary Residence Value*
Please enter a number greater than or equal to 0.
Other Real Estate
Please enter a number greater than or equal to 0.
Cash in Bank*
Please enter a number greater than or equal to 0.
Vehicles/Equipment Value(s)
Enter Vehicles and Equipment with Values.
Other Assets (Please specify - 1 per line)
Total Value of Assets*
Please enter a number greater than or equal to 0.
Liabilities
Mortgage Amount Owing*
Mortgage Payment Per Month*
Other Mortgage Amount Owing
Other Mortgage Payment Per Month
Credit Cards (Total) Amount Owing*
Credit Cards (Total) Payment Per Month*
Other Credit (List Creditors Below - 1 per line)
Total Amount Owing of Liabilities*
Total Payment Per Month of Liabilities*
Vendor and Equipment Information
Equipment Description
Vendor
Approximate Value
Application Agreement
The undersigned agrees that Carbon Capital Corporation may collect, use and disclose certain personal and business information (“Information”) from you and about you. Information may be collected from and disclosed to our agents, affiliates, third party service providers, credit bureaus, credit reporting agencies, other credit grantors, any person you have or propose to have financial relations with as well as third parties who wish to become involved in the syndication of a loan, lease or other investment in which your Information is relevant, or who are involved in risk assessment, risk management, or due diligence in the context of a financial transaction or proposed financial transaction. You also authorize any person whom we contact in this regard to provide such Information to us. We may collect, use and disclose your Social Insurance Number or other personal identifiers to verify and report credit information to credit bureaus or credit reporting agencies as well as to confirm your identity. We may obtain credit reports from Equifax Canada Inc., Box 190 Station Jean Talon, Montreal, Quebec H1S 2Z2, with telephone 1-800-465-7166 and other similar credit reporting agencies. If you would like to review your own personal information, correct or revise information, have questions, concerns or comments regarding its application please fax 1-855-827-5439 or mail to #117, 10555 48th Street SE, Calgary, AB T2C 2B7*
- I have read and agree to the applicant terms.

For more information on obtaining Commercial Credit / Commercial Financing, or if you have any questions while completing your applications, please call our customer service department for assistance:

Via Email:
Via Phone: 1-800-860-0229
Via Fax: 1-855-827-5439

NOTE: Due to the variety of settings on individual computers, we have provided our commercial credit application documents in PDF format to avoid the need for special formatting of pages that may not display well on your computer browser.

To copy and paste from a PDF file, click the “Select Text” button located on the Adobe Acrobat Reader menu bar. Then you will be able to drag and click to select text, and by clicking on the right mouse button, you can Copy the selected text to the clipboard, then Paste it into any other software application to edit.

Download Credit Application

Download Personal Net Worth Statement

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